Category Archives: Medications and Adverse Drug Events

Trauma in Older Adults

Older adults who suffer traumatic injuries have worse outcomes than younger patients. In this episode Dr. Zara Cooper (acute care and trauma surgeon at Brigham and Women’s hospital) and I discuss some of the reasons for this, and also ways … Continue reading

Posted in Medications and Adverse Drug Events, Trauma | 3 Comments

Preventing Falls in the Elderly: An EMS Story

The risk of falls increases as we age. Unfortunately, so does the risk of injury, morbidity, and mortality following a fall. Falls risk is considered a geriatric syndrome, with multi-factorial causes. Falls are a the #1 cause of trauma-related mortality … Continue reading

Posted in Medications and Adverse Drug Events, Systems and Administration, Trauma | 2 Comments

How to Reverse Oral Anticoagulants

The number of new oral anticoagulants has grown dramatically in the last few years. And with that growth has come the need for new reversal agents. Reversing anticoagulation in patients with acute intra-cranial hemorrhages can be complex and dependent on … Continue reading

Posted in Medications and Adverse Drug Events, Neurology and Psychiatry, Trauma | 3 Comments

Pearls and Pitfalls of Pain Management in Older Adults

Pain is the number one reason why people seek care in the Emergency Department (ED). One major goal of acute care is diagnosing the cause of the pain, but another is helping relieve the suffering associated with pain. In older … Continue reading

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Dangerous Med Combos in Older Adults

Look twice at the med list before you prescribe these! Two distinguished guests join me this month, David Juurlink (@DavidJuurlink) and Bryan Hayes (@PharmERToxyGuy), to discuss medication interactions. There are many medications that we commonly prescribe in the ED that … Continue reading

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Hip Fracture Management Pathways in Older Adults

Hip fractures are a common injury among older adults and have a staggering one-year mortality of 20-30%. In this episode we discuss a multi-disciplinary pathway to improve the acute care of patients with hip fractures. It can help standardize care, … Continue reading

Posted in Medications and Adverse Drug Events, Systems and Administration, Trauma | 4 Comments

Geriatric Toxicology Part 3 – Digoxin and CCBs

Digoxin and Calcium Channel Blockers are both medications that can cause unstable bradycardias. Patients who overdose on them can present extremely ill-appearing, and require rapid intervention and stabilization. In this final geri-tox episode, Dr. May Yen talks about identifying and … Continue reading

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Geriatric Toxicology Part 2 – Acetaminophen

Acetaminophen overdoses can be deadly if they are not rapidly identified and treated. While the treatment is relatively simple, there are still subtleties and ambiguities. How do you identify who needs treatment? Which patients should be transferred to a facility … Continue reading

Posted in Medications and Adverse Drug Events, Toxicology | 3 Comments

Geriatric Toxicology Part 1 – Salicylates

Toxicologic emergencies can present differently in older adults compared with younger patients. The physiologic changes of aging make older patients more prone to accidental overdoses because of a narrowed therapeutic window. In this podcast, toxicology-trained Emergency Physician, Dr. May Yen, … Continue reading

Posted in Medications and Adverse Drug Events, Toxicology | 2 Comments

High Risk Medications and Adverse Drug Events

Adverse drug events (ADEs) are a major problem among older adults who present to the Emergency Department. ADEs come in 5 types. 1 in 6 hospitalizations among older adults involves an ADE, and half of the hospitalizations for ADEs are … Continue reading

Posted in Medications and Adverse Drug Events, Toxicology | Tagged , , , | 2 Comments